pharmacology for Canadian Health Care Practice evolve questions- 3rd edition with verified answers

pharmacology for Canadian Health Care Practice evolve questions- 3rd edition with verified answers In which step of the nursing process does the nurse determine the outcome of medication administration? a. Implementation b. Assessment c. Planning d. Evaluation - ANSWER d. Evaluation The nurse plans care for a male patient who is 80 years of age. The nursing diagnosis is nonadherence with the medication regimen related to living alone, as evidenced by uncontrolled blood pressure. What should the nurse do next? a. Examine the results of nursing help with the medications. b. Assess the impact of home self-management of medications. c. Collaborate with the health care provider on a new medication regimen. d. Enlist the help of a home care nurse for pharmacotherapy. - ANSWER d. Enlist the help of a home care nurse for pharmacotherapy. Which statement is an example of objective data? (Select all that apply.) a. The patient says that she has felt tired for almost a week. b. The patient says that she feels like someone is touching her arm. c. The patient has had a fever for 5 days. d. The patient states that she has a headache. e. The patient has clear urine. - ANSWER c. The patient has had a fever for 5 days. e. The patient has clear urine. What should the nurse check when reviewing a prescription with a patient? (Select all that apply.) a. The patient's home address b. The signature of the prescriber c. The age of the patient d. The route of administration e. The patient's emergency contact - ANSWER b. The signature of the prescriber d. The route of administration What information should the nurse chart when documenting medication administration? (Select all that apply.) a. Information about an "incident report" in the patient's chart b. The route of administration c. The patient's age d. The time of administration e. The dosage of medication administered - ANSWER b. The route of administration d. The time of administration e. The dosage of medication administered What is the study of physiochemical properties of drugs and how drugs influence the body called? a. Pharmacokinetics b. Pharmacodynamics c. Pharmacology d. Pharmacotherapeutics - ANSWER b. Pharmacodynamics Which statement best describes pharmacokinetics? a. Physiologic interaction between a drug and body cells b. What the body does to the drug after it is administered c. Conversion of medication into its active chemical substance d. Adverse effects and toxic reactions to medications - ANSWER b. What the body does to the drug after it is administered Which nursing action will increase the absorption of a medication administered intramuscularly? a. Administering the medication via the Z-track method. b. Applying ice packs to the injection site. c. Massaging the site after injection. d. Lowering the extremity below the level of the heart. - ANSWER c. Massaging the site after injection. When administering two medications that are highly protein bound, the nurse understands to monitor the patient carefully for which effect? a. A short duration of medication action b. Hypovolemic shock caused by a low albumin level c. Increase in the risk of drug-drug interactions d. Immediate improvement in the patient's condition - ANSWER c. Increase in the risk of drug-drug interactions What is the ratio between a drug's therapeutic effects and toxic effects called? a. Therapeutic index b. Cumulative effect c. Tolerance d. Affinity - ANSWER a. Therapeutic index A patient asks the nurse why the dose of IV pain medication being given is lower than that of the patient's previous oral medication. What is the nurse's best response to the patient? a. "Medications given intravenously are not affected by the first-pass effect." b. "Medications given orally bypass the portal circulatory system." c. "A large percentage of an intravenously administered drug is metabolized into inactive metabolites in the liver." d. "Drugs administered intravenously enter the portal system before systemic distribution." - ANSWER a. "Medications given intravenously are not affected by the first-pass effect." The nurse understands that drugs exert their actions on the body by what process? (Select all that apply.) a. Interacting with receptors b. Making the cell perform a new function c. Inhibiting the action of a specific enzyme d. Altering metabolic chemical processes - ANSWER a. Interacting with receptors c. Inhibiting the action of a specific enzyme d. Altering metabolic chemical processes The nurse knows that which factors will affect the absorption of orally administered medications? (Select all that apply.) a. Time of day b. Patient in high Fowler's position c. pH of the stomach d. Presence of food in the stomach e. Form of drug preparation - ANSWER a. Time of day c. pH of the stomach d. Presence of food in the stomach e. Form of drug preparation What is another term for biotransformation of a drug? a. Dilution b. Excretion c. Metabolism d. Absorption - ANSWER c. Metabolism A drug given by which route is altered by the first-pass effect? a. Sublingual b. Oral c. Subcutaneous d. Intravenous (IV) - ANSWER b. Oral Drug's half-life is defined as the amount of time required for 50% of a drug to a. be absorbed by the body. b. exert a response. c. reach a therapeutic level. d. be eliminated by the body. - ANSWER d. be eliminated by the body. To achieve the most rapid onset of action, the health care provider will prescribe the medication to be administered by which route? a. Subcutaneous (SC) b. Intramuscular (IM) c. Intravenous (IV) d. Intrathecally - ANSWER c. Intravenous (IV) Patients with renal failure would most likely have problems with which pharmacokinetic process? a. Metabolism b. Distribution c. Absorption d. Excretion - ANSWER d. Excretion